tci Medicare Compliance & Reimbursement - 2003 Issue 13
Hospitals: CHARITABLE PROGRAMS CAN EVADE KICKBACK PERILS
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Article Overview
This article explains how the HHS Office of Inspector General evaluated two hospital-related charitable care arrangements under the anti-kickback statute. It is relevant to compliance teams, hospital administrators, physicians, and revenue cycle professionals who need a high-level understanding of charitable mission programs, indigent care support, and OIG advisory opinion guidance.
Why This Topic Matters
Hospitals and other health care organizations with charitable programs need to understand how certain arrangements can be scrutinized under anti-kickback principles. The article highlights the compliance concerns and the types of program characteristics the OIG considered in evaluating risk.
What You Will Learn
- How the HHS OIG analyzes charitable care arrangements under anti-kickback concerns
- Why hospital programs serving indigent patients can raise compliance questions
- What broad factors were considered in two advisory opinions involving hospital arrangements
- How charitable mission programs may be evaluated from a fraud-and-abuse perspective
Who Should Read This
- Hospital compliance staff
- Health care attorneys
- Revenue cycle professionals
- Physician practice administrators
- Hospital administrators
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